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PLEASE PRINT AND BRING COMPLETED FORMS (pages 12) TO YOUR APPOINTMENT. Our Privacy Policy (pages 35) is for your information. PATIENT INFORMATION Please Print ClearlyLast Name First Name M.I. SS#
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How to fill out new lasik patient registration
How to fill out new lasik patient registration
01
To fill out the new lasik patient registration, follow these steps:
02
Begin by visiting the lasik clinic's official website or physically go to their location.
03
Look for the 'New Patient Registration' section on their website's homepage or ask the receptionist for the required forms.
04
Provide your personal information such as name, address, and contact details.
05
Fill in your medical history, including any previous eye surgeries or relevant health conditions.
06
Answer the questionnaire regarding your vision issues, current eyewear usage, and lifestyle.
07
If you have insurance coverage, provide the necessary details and submit any required documents.
08
Review the completed form for accuracy and make any necessary corrections.
09
Sign and date the registration form to confirm your agreement with the provided information.
10
Submit the registration form either online or hand it over to the receptionist at the clinic.
11
If submitting online, wait for a confirmation email or call from the clinic to verify your registration.
12
Attend your scheduled appointment at the lasik clinic and bring any additional requested documents or identification.
13
Upon arrival, inform the receptionist that you have completed the new patient registration form.
14
Follow any further instructions or procedures as directed by the clinic staff.
15
Congratulations, you have successfully filled out the new lasik patient registration and are ready for your appointment!
Who needs new lasik patient registration?
01
Anyone who is new to seeking lasik eye surgery needs to fill out the new lasik patient registration.
02
This includes individuals who are interested in improving their vision through lasik surgery and have not previously visited the specific clinic.
03
The registration form helps collect necessary personal and medical information to ensure safe and effective treatment.
04
It is also important for individuals who want to utilize their insurance coverage for lasik surgery to complete the registration process.
05
By submitting the new lasik patient registration, prospective patients can initiate the evaluation and consultation process with the lasik clinic.
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